WEBVTT - Protecting Your Boobies with Dr. Armani Jambhekar

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<v Speaker 1>This is the Ben and Ashley I Almost Famous Podcast

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<v Speaker 1>with iHeartRadio.

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<v Speaker 2>Hey guys, welcome to the Almost Famous Podcast. To this week,

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<v Speaker 2>we got, you know, very sad news that Katie Thurston

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<v Speaker 2>has been diagnosed with breast cancer at the age of

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<v Speaker 2>thirty four, and she said in her Instagram post that

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<v Speaker 2>she wants to share her story to help others. So

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<v Speaker 2>we hope that we are supporting her and doing that

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<v Speaker 2>by having on Doctor Ammani Jambacar, thank you so much

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<v Speaker 2>for coming on our podcast.

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<v Speaker 3>You guys.

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<v Speaker 2>She is a board certified surgeon who first got her

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<v Speaker 2>Bachelor of Arts in English, which I'm interested about your switchover,

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<v Speaker 2>and then a bachelor's in science and psychology, and then

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<v Speaker 2>you went over to the biology side and you ended

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<v Speaker 2>up getting your Doctor of Medicine at the University of

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<v Speaker 2>Texas Health Center. And you have been on you know,

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<v Speaker 2>you speak a lot about breast cancer, and you were

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<v Speaker 2>on Shannon Doherty's podas who of course sadly passed away

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<v Speaker 2>this year, and you spoke with her about breast cancer.

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<v Speaker 2>She was part of the iHeart family, So we just

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<v Speaker 2>want to thank you for coming on and talking to

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<v Speaker 2>the Almost Famous Bachelor audience about something that has affected

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<v Speaker 2>one of our favorites so sadly. So first off, I

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<v Speaker 2>kind of want to ask the to me, it's obvious,

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<v Speaker 2>why should that we're hearing more women in their thirties

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<v Speaker 2>being diagnosed with breast cancer?

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<v Speaker 3>And should we?

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<v Speaker 2>I think we should start getting mammagrams earlier.

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<v Speaker 3>Earlier than forty or earlier earlier than forty.

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<v Speaker 4>Yeah, so that's an interesting question, and I do. I

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<v Speaker 4>have quite a few patients that are in their thirties.

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<v Speaker 4>I've seen patients in their twenties, and the youngest patient

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<v Speaker 4>I've had with breast cancer is nineteen.

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<v Speaker 3>Actually, Holy molly.

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<v Speaker 4>Yes, so it is definitely something that impacts younger women

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<v Speaker 4>as well. I think that overall, we're seeing cancer incidents

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<v Speaker 4>go up in younger people, which is why ages for

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<v Speaker 4>things like colonoscopies are going down. I think that everyone

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<v Speaker 4>who has a family history of breast cancer, pancreatic, ovarian,

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<v Speaker 4>really any kind of cancer does need some kind of

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<v Speaker 4>risk assessment, and some people, yes, should start getting mammograms

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<v Speaker 4>and potentially MRIs as well earlier, you know, in their

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<v Speaker 4>twenties and thirties, because they are high risk for developing

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<v Speaker 4>a future breast cancer.

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<v Speaker 2>When we say family, are we talking parent grandparent? Does

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<v Speaker 2>it go further back than that? Does it should be

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<v Speaker 2>two grandparents? Because so I'll share a little bit of

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<v Speaker 2>a personal story in a bit. But my paternal grandfa

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<v Speaker 2>grandmother high breast cancer in her seventies. Oktal's totally fine,

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<v Speaker 2>but the doctors say that I'm much more at high

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<v Speaker 2>risk because of that.

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<v Speaker 4>Yeah, So when we're talking about a family history, we're

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<v Speaker 4>talking about first degree relatives, which is like your mom,

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<v Speaker 4>or if you're older, your daughter or one of your sisters,

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<v Speaker 4>or second second degree relatives, which include grandparents as well

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<v Speaker 4>as aunts and uncles or half sisters, half brothers, and yeah,

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<v Speaker 4>to speak to your family history. Generally, people who are

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<v Speaker 4>high risk have family members who have been diagnosed at

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<v Speaker 4>a younger age, usually before menopause. So that's usually like

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<v Speaker 4>in their forties, thirties, et cetera. Usually being diagnosed in

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<v Speaker 4>your seventies is not something that particularly increases, you know,

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<v Speaker 4>you as the granddaughter, your risk of a future breast cancer.

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<v Speaker 4>But it is something that I think everyone who has

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<v Speaker 4>a family history needs to have a conversation with either

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<v Speaker 4>their primary care doctor, their obgyn, or with you know,

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<v Speaker 4>a breast surgical oncologist like me, just to figure out

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<v Speaker 4>where you are in the spectrum of risk, especially if

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<v Speaker 4>you've also pre obviously had a lump, you've had a

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<v Speaker 4>biopsy for some reason. All of those things matter.

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<v Speaker 2>So you are a breast oncologist surgeon, So this is

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<v Speaker 2>basically what you're doing all day long is taking out

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<v Speaker 2>cancer out of breast.

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<v Speaker 4>Yeah. So I'm a breast surgical oncologist that did my

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<v Speaker 4>fellowship in breast surgical oncology at Columbia, and there I

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<v Speaker 4>also did a lot of melanoma. So my practice is

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<v Speaker 4>a mix of taking out breast cancers, also counseling patients

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<v Speaker 4>about their risk in our high risk breast clinic, and

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<v Speaker 4>also quite a bit of melanoma as well.

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<v Speaker 3>What inspired you to go into that department.

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<v Speaker 4>That's an interesting story. So I was the only I

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<v Speaker 4>was one of a handful of women who chose the

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<v Speaker 4>surgery route from my medical school class, and then I

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<v Speaker 4>was the only woman in my graduating class in general surgery.

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<v Speaker 4>And I really wanted to be in a field that

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<v Speaker 4>I thought would enable me to how are women. And

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<v Speaker 4>I also wanted to be in a field that I

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<v Speaker 4>thought was really evidence based and for that, you know,

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<v Speaker 4>doing both breast cancer and melanoma fit the bill for me.

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<v Speaker 4>And then I was lucky to get into my fellowship

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<v Speaker 4>at Columbia and I'm now in my six year of

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<v Speaker 4>practice and I absolutely love it. It's definitely where what

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<v Speaker 4>I was meant to do.

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<v Speaker 3>Congratulations, that's amazing, Thank you so much. Good obviously.

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<v Speaker 2>All right, so we're all told to do our examinations

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<v Speaker 2>at home starting at what age.

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<v Speaker 4>So it's kind of like, you know, this is gonna

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<v Speaker 4>be a little bit controversial, but I'm kind of like,

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<v Speaker 4>you know, a lot of times I'll see people in

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<v Speaker 4>the office and they'll have been diagnosed with a breast

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<v Speaker 4>cancer and it might have been a breast cancer that

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<v Speaker 4>they felt, but they will say something to me like, oh,

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<v Speaker 4>you know, doctor Jambicar. I know I'm supposed to be

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<v Speaker 4>doing like monthly self breast exams, and I just haven't

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<v Speaker 4>done them. I've missed a few, So this is my

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<v Speaker 4>fault because I didn't do them, and I always have

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<v Speaker 4>to tell them like, actually, really like self breast exams

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<v Speaker 4>don't make as much of a difference as breast imaging,

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<v Speaker 4>and so I recommend breast awareness to my patients like

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<v Speaker 4>generally just knowing, you know, especially when you're in the

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<v Speaker 4>shower you're soaping up, knowing what your breasts feel like.

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<v Speaker 4>Especially for younger women, that may mean that your breasts

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<v Speaker 4>are kind of lumpy because they're dense, and that's okay.

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<v Speaker 4>And then really, the thing I hammer home all the

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<v Speaker 4>time and literally all the content I put out there

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<v Speaker 4>on social media is if you have a lump, it

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<v Speaker 4>needs to have some kind of imaging follow up. So

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<v Speaker 4>you have a lump, you go and see exactly like

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<v Speaker 4>Katie did you know, You go and see your doctor

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<v Speaker 4>and then you get an ultrasound or a mammogram or

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<v Speaker 4>both ordered, not just a doctor saying, oh, you're too

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<v Speaker 4>young to have breast cancer, so this is probably nothing.

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<v Speaker 2>So when I was twenty two, I was just you know,

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<v Speaker 2>I've always had a pretty dense breast.

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<v Speaker 4>Yeah, I don't know that you call it.

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<v Speaker 3>Would you call them cystic?

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<v Speaker 4>I mean, I think that word gets used a lot,

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<v Speaker 4>but I think that like, really virtually everyone who's in

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<v Speaker 4>their twenties has dance breast that a lumpy okay.

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<v Speaker 2>So there was one spot where it was like particularly

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<v Speaker 2>like it was it was a lump, okay, but it

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<v Speaker 2>was smooth and it moved and it was very marble

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<v Speaker 2>like oh, which is all good signs, but still signs

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<v Speaker 2>of course that it should probably be checked out. Yeah,

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<v Speaker 2>so I did. I got a mammogram at twenty two

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<v Speaker 2>and got an ultrasound and then they biopsied it. Okay,

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<v Speaker 2>they tagged it and they said and then it was fine.

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<v Speaker 2>And then I got it checked up. Probably probably too late,

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<v Speaker 2>I mean probably later then I may have should have,

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<v Speaker 2>but like around thirty I did it. I got it

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<v Speaker 2>checked out again, and my doctor, knowing that history and

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<v Speaker 2>then knowing my grandmother had it, she was like, okay,

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<v Speaker 2>well I want to just send you in for another

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<v Speaker 2>ultrasound and mammogram. Did that found some calcifications that they

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<v Speaker 2>ended up biopsying again. That biopsy I like basically fanted

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<v Speaker 2>during Yeah.

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<v Speaker 4>Those are the mamogram buses are rough.

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<v Speaker 3>Yeah, it was crazy.

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<v Speaker 2>I was like, there is an instrument inside my body

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<v Speaker 2>right now. And then just last month I went and

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<v Speaker 2>I got my check like four years later on all

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<v Speaker 2>of that again ultrasound and mammogram, and I'm all good.

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<v Speaker 2>But there's always there's like a lot of women out

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<v Speaker 2>there that are young and like things are flowing around,

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<v Speaker 2>and it's it's best that they take action, right.

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<v Speaker 4>It's definitely best that they take take action. And I

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<v Speaker 4>mean I see it all the time, like lots of

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<v Speaker 4>young women like you have, you know, these kinds of

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<v Speaker 4>benign findings or a lump that moves around and is

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<v Speaker 4>something that doesn't really need to be removed. But I

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<v Speaker 4>also see, you know, as a cancer surgeon, I also

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<v Speaker 4>see the other side of that, women who went to

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<v Speaker 4>some doctor or an urgent care or something like that

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<v Speaker 4>and said, hey, I've got this new lump and it's

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<v Speaker 4>not going away, and it's not changing with my periods.

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<v Speaker 4>It's just there all the time. I don't know what

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<v Speaker 4>to do with that. And then someone examines them and says, well,

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<v Speaker 4>it's probably just a cyst. It's probably nothing because you're

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<v Speaker 4>too young to have breast cancer. And then the thing

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<v Speaker 4>keeps growing. They go see another doctor and someone says

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<v Speaker 4>the same thing, and then by the time they finally

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<v Speaker 4>get breast imaging ordered, at that point it sometimes isn't

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<v Speaker 4>early stage anymore. And so just very very important that

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<v Speaker 4>if you feel something or you see skin changes, you

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<v Speaker 4>have new nipple discharge, anything that concerns you that you

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<v Speaker 4>take it to your regular doctor, your obgyn and ask them,

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<v Speaker 4>you know, hey, can you order some breast imaging for me?

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<v Speaker 2>So when you're checking like mine was, as I said,

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<v Speaker 2>a little bit less alarming because it was smooth marble,

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<v Speaker 2>I can moved around. It's basically the opposite that you're

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<v Speaker 2>really looking out for correct like edged and then discharge

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<v Speaker 2>and then it's kind of stays in one spot.

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<v Speaker 4>Yeah, it stays in one spot now. I it kind

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<v Speaker 4>of depends on the depth of you know, the thing,

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<v Speaker 4>the lump in the breast, Like there are some that

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<v Speaker 4>could be deeper in there that do move around because

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<v Speaker 4>there's a lot of breast tissue in front of it,

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<v Speaker 4>and there's some that you know, I've even seen patients

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<v Speaker 4>say this feels hard like a marble with the edges

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<v Speaker 4>aren't like a marble, And so, you know, I think

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<v Speaker 4>what you're looking for really is something that is there

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<v Speaker 4>and it's hard, and it's not going away on its

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<v Speaker 4>own after a week or so. And if it's not

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<v Speaker 4>going away on its own after a week, then you

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<v Speaker 4>know it needs to be checked out. And sometimes people

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<v Speaker 4>tell me something like you know, I fell, or you

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<v Speaker 4>know my dog bit me or something like that. You know,

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<v Speaker 4>I had some kind of trauma here and it started

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<v Speaker 4>after that, but then it never went away, and now

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<v Speaker 4>here we.

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<v Speaker 3>Are interesting, okay.

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<v Speaker 2>And then what's the proper pose when you're checking yourself out?

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<v Speaker 2>Isn't it with your arm up like over your head?

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<v Speaker 4>Yeah, your arm up and then just kind of going

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<v Speaker 4>in circles, starting from the nipple going working your way out,

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<v Speaker 4>but with your arm up or down. It doesn't really matter,

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<v Speaker 4>you know. I think it's kind of whatever's comfortable for you.

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<v Speaker 4>Just sort of be aware of what your breasts feel like.

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<v Speaker 4>Everyone should be aware of what their breasts feel like.

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<v Speaker 4>But I do see the ones that are lumps of

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<v Speaker 4>either the cancerous kind or the benign kind. I see

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<v Speaker 4>a lot like that. They found it when they were

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<v Speaker 4>in the shower, you know, they're soaping up, and they

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<v Speaker 4>were like, oh, this is this is new. I haven't

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<v Speaker 4>felt this before, and so that kind of vigilance. I

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<v Speaker 4>definitely recommend, you know, doing a monthly self breast exam

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<v Speaker 4>or setting you know, a calendar appointment for yourself to

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<v Speaker 4>make sure that you check them. I don't think women

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<v Speaker 4>should be held to that because it's so hard to do.

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<v Speaker 4>Life as a woman as it is, there's so many

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<v Speaker 4>extra responsibilities on our plates, and so you know, I

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<v Speaker 4>don't want anyone coming into my office and feeling some

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<v Speaker 4>kind of guilt or shame that like, oh I should

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<v Speaker 4>have checked myself earlier and this would have you know,

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<v Speaker 4>solved the problem, right.

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<v Speaker 2>I want to pick your brain about what you think

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<v Speaker 2>is maybe a correlation. So lots of people are thinking

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<v Speaker 2>that maybe birth control increases your odds. What's your opinion

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<v Speaker 2>of so birth control, like hormonal birth control interesting?

0:12:51.080 --> 0:12:54.080
<v Speaker 4>Yeah, it's kind of interesting because it's like it does

0:12:54.200 --> 0:12:57.199
<v Speaker 4>slightly increase the risk for breast cancer, but it also

0:12:57.360 --> 0:12:59.400
<v Speaker 4>decreases the risk for ovariant.

0:12:58.960 --> 0:13:02.640
<v Speaker 3>Carey cancer, you know, if you're right.

0:13:02.600 --> 0:13:05.760
<v Speaker 4>So it's kind of like, yeah, so like in terms

0:13:05.840 --> 0:13:11.080
<v Speaker 4>of modifiable risk factors for breast cancer, I mean I

0:13:11.080 --> 0:13:14.320
<v Speaker 4>would say, like not drinking an excess is one of them,

0:13:15.120 --> 0:13:17.880
<v Speaker 4>and that's kind of it. You know, most of the

0:13:17.920 --> 0:13:21.480
<v Speaker 4>time breast cancer boils down to bad luck. That's what

0:13:21.520 --> 0:13:23.200
<v Speaker 4>I tell my patients all the time, because I have

0:13:23.280 --> 0:13:26.960
<v Speaker 4>patients who you know, have never taken hormonal birth control,

0:13:27.000 --> 0:13:30.920
<v Speaker 4>who have no family history, who are super healthy, never drink,

0:13:31.080 --> 0:13:34.320
<v Speaker 4>never smoke, exercise, you know, forty minutes a day, every

0:13:34.360 --> 0:13:39.280
<v Speaker 4>single day, and they can still end up with breast cancer. Conversely,

0:13:39.320 --> 0:13:41.360
<v Speaker 4>I've had patients that have all those risk factors that

0:13:41.440 --> 0:13:43.800
<v Speaker 4>never end up with breast cancer. And so it's really

0:13:44.640 --> 0:13:46.840
<v Speaker 4>the most important thing is like, if you do have

0:13:46.880 --> 0:13:49.520
<v Speaker 4>a family history, to get that checked out and to

0:13:49.559 --> 0:13:51.960
<v Speaker 4>figure out what your future breast cancer risk is, so

0:13:52.000 --> 0:13:53.760
<v Speaker 4>you could see if you do need to start your

0:13:53.760 --> 0:13:57.560
<v Speaker 4>imaging earlier than forty. But then if you are forty,

0:13:58.360 --> 0:14:00.760
<v Speaker 4>you need to be getting a mammogram every single year.

0:14:01.280 --> 0:14:03.920
<v Speaker 4>It might mammogrant plus an ultrasound might just be a

0:14:03.960 --> 0:14:06.440
<v Speaker 4>mammogram by itself, could be a mammogram and an MRI,

0:14:06.679 --> 0:14:10.040
<v Speaker 4>but mammogram has to be in there and definitely definitely

0:14:10.120 --> 0:14:13.240
<v Speaker 4>definitely not a thermogram because those are not evidence based

0:14:13.280 --> 0:14:15.920
<v Speaker 4>and cancers get really missed on those.

0:14:16.400 --> 0:14:19.040
<v Speaker 2>What about soy? I know people are considered about soy

0:14:19.200 --> 0:14:20.760
<v Speaker 2>even deodorant.

0:14:21.440 --> 0:14:23.960
<v Speaker 4>Yeah, there's a lot of stuff out there about those,

0:14:24.320 --> 0:14:29.040
<v Speaker 4>SOI like, it's kind of there's not a very strong

0:14:29.080 --> 0:14:31.320
<v Speaker 4>study that says like if we cut out soy from

0:14:31.320 --> 0:14:34.680
<v Speaker 4>our diets, it means that you won't develop, you know,

0:14:34.720 --> 0:14:38.720
<v Speaker 4>an estrogen responsive breast cancer. And so there's not really

0:14:38.760 --> 0:14:42.280
<v Speaker 4>like there's really no preventing it, so to speak. You know,

0:14:42.320 --> 0:14:44.680
<v Speaker 4>I think it's just living a healthy lifestyle, and you know,

0:14:44.760 --> 0:14:50.760
<v Speaker 4>minimizing drinking I think is important. But you know, any

0:14:50.800 --> 0:14:53.320
<v Speaker 4>people who avoid all of those things, who kind of

0:14:53.480 --> 0:14:55.640
<v Speaker 4>see any study that has sort of a weak link

0:14:55.720 --> 0:14:58.040
<v Speaker 4>to breast cancer, and you know, there was a study

0:14:58.040 --> 0:15:01.040
<v Speaker 4>that talked about hair dye, for example, recently, and people

0:15:01.040 --> 0:15:02.720
<v Speaker 4>who are like, Okay, I'm gonna stop dying my hair,

0:15:02.800 --> 0:15:06.800
<v Speaker 4>like in the end, Like that amount of difference is

0:15:06.880 --> 0:15:10.320
<v Speaker 4>so small compared to the biggest risk factors for breast cancer,

0:15:10.680 --> 0:15:14.200
<v Speaker 4>which is being a woman and having breasts and getting older.

0:15:15.920 --> 0:15:18.800
<v Speaker 2>This is maybe a little bit off of the breast

0:15:18.840 --> 0:15:22.840
<v Speaker 2>cancer question, but you did mention that younger women have

0:15:23.080 --> 0:15:27.360
<v Speaker 2>denser breasts in their twenties. So I had two kids

0:15:27.400 --> 0:15:29.760
<v Speaker 2>over the past three and a half years. One is

0:15:29.800 --> 0:15:31.600
<v Speaker 2>literally screaming his head off right now. So if I

0:15:31.640 --> 0:15:36.480
<v Speaker 2>seem a little elsewhere, I don't know what's going on.

0:15:37.680 --> 0:15:42.760
<v Speaker 2>But didn't you have breastfeed and my breasts are now

0:15:43.480 --> 0:15:45.960
<v Speaker 2>not at all dense, They're like squashy.

0:15:46.680 --> 0:15:47.360
<v Speaker 3>What happened?

0:15:49.720 --> 0:15:52.800
<v Speaker 4>Yeah, that happens. You know, I've seen that before, well,

0:15:53.240 --> 0:15:57.120
<v Speaker 4>that does happen, you know, it's breastfeeding. That's one of

0:15:57.120 --> 0:15:59.600
<v Speaker 4>those things that I think they really don't tell women

0:15:59.680 --> 0:16:01.680
<v Speaker 4>before they like choose to breastfeed or.

0:16:01.680 --> 0:16:03.040
<v Speaker 3>Choose not to breastfeed.

0:16:03.160 --> 0:16:08.000
<v Speaker 4>Though. Yeah, so breastfeeding definitely does make your breast less dense. Interesting,

0:16:08.480 --> 0:16:13.080
<v Speaker 4>and pregnancy also like you know, formal impacting the breast,

0:16:13.200 --> 0:16:17.560
<v Speaker 4>the breast expanding, filling and then unfilling, filling and then unfilling. Yeah,

0:16:17.600 --> 0:16:19.880
<v Speaker 4>so a lot of women tell me that, you know,

0:16:20.600 --> 0:16:22.400
<v Speaker 4>and I can even tell you know at this point

0:16:22.440 --> 0:16:24.480
<v Speaker 4>because I see a lot of patients in my office

0:16:24.480 --> 0:16:26.360
<v Speaker 4>and do a lot of breast exams, I can tell

0:16:26.480 --> 0:16:28.760
<v Speaker 4>you know who has breastfed and who hasn't. And that's

0:16:28.800 --> 0:16:32.760
<v Speaker 4>something that really they should tell a lot more women that, like, hey,

0:16:32.800 --> 0:16:35.640
<v Speaker 4>your breasts are going to be changed after this, and

0:16:36.000 --> 0:16:38.280
<v Speaker 4>sometimes that can be a little bit surprising to people.

0:16:38.720 --> 0:16:42.200
<v Speaker 4>But in general, breasts also get less dense as you

0:16:42.240 --> 0:16:45.400
<v Speaker 4>get older. It's very uncommon to see people with very

0:16:45.480 --> 0:16:47.840
<v Speaker 4>very dense breasts, you know, in their seventies and eighties,

0:16:47.880 --> 0:16:49.440
<v Speaker 4>although rarely I do see it.

0:16:50.120 --> 0:16:53.120
<v Speaker 2>I wonder I'm reading Katie's caption right now. Yeah, so

0:16:53.160 --> 0:16:56.520
<v Speaker 2>she has invasive ductal carcinoma.

0:16:57.040 --> 0:17:00.040
<v Speaker 3>Mm hmm, it's invasive ductyl mean.

0:17:00.040 --> 0:17:03.000
<v Speaker 4>So there's two parts of the breast. There's the ducts

0:17:03.040 --> 0:17:05.920
<v Speaker 4>that deliver the milk out the nipple because the breasts

0:17:05.920 --> 0:17:09.760
<v Speaker 4>were the whole function of breasts is to breastfeed. That's

0:17:09.800 --> 0:17:12.560
<v Speaker 4>what they were designed for, right, And so there's two

0:17:12.600 --> 0:17:15.520
<v Speaker 4>parts of the breast, the duct that leads the milk

0:17:15.560 --> 0:17:18.399
<v Speaker 4>out the nipple in order to do breastfeeding, and the

0:17:18.480 --> 0:17:22.280
<v Speaker 4>lobules which actually makes the milk. And that what she's

0:17:22.280 --> 0:17:24.600
<v Speaker 4>saying is that her cancer started in the ducts of

0:17:24.600 --> 0:17:27.320
<v Speaker 4>her breasts and not the lobules. It's that's the more

0:17:27.400 --> 0:17:31.480
<v Speaker 4>common type of breast cancer rather than the lobules, and

0:17:32.119 --> 0:17:36.520
<v Speaker 4>that that's it's invasive, meaning that it is now forming

0:17:36.560 --> 0:17:38.320
<v Speaker 4>a mass outside of that duct.

0:17:39.080 --> 0:17:42.760
<v Speaker 2>Okay, I don't want to speculate on what stage she's

0:17:42.800 --> 0:17:46.680
<v Speaker 2>at or you know, the intensity that she's going to

0:17:46.760 --> 0:17:49.600
<v Speaker 2>have to go through. I just want to say that again,

0:17:49.640 --> 0:17:53.080
<v Speaker 2>we're thinking about her and we're sending all of our

0:17:53.119 --> 0:17:55.240
<v Speaker 2>love out to her. Is there anything that I missed

0:17:55.240 --> 0:17:57.480
<v Speaker 2>in this conversation that you think is critical for women

0:17:57.520 --> 0:17:58.000
<v Speaker 2>out there to know?

0:17:59.280 --> 0:18:00.919
<v Speaker 4>I think we pretty mu covered it. You know, I

0:18:00.920 --> 0:18:04.440
<v Speaker 4>think she is doing women such a service by putting

0:18:04.880 --> 0:18:07.920
<v Speaker 4>all of this out there and really almost in real time,

0:18:08.040 --> 0:18:10.879
<v Speaker 4>being so transparent about you know, I know that she

0:18:11.040 --> 0:18:13.560
<v Speaker 4>had a biopsy of the breast, a biopsy of the

0:18:13.680 --> 0:18:17.119
<v Speaker 4>lymph node, and that's probably why you mentioned chemote therapy.

0:18:17.160 --> 0:18:20.080
<v Speaker 4>That's probably why she's getting chemote therapy is because the

0:18:20.119 --> 0:18:22.399
<v Speaker 4>cancer has spread from the breast to the lymph nodes.

0:18:23.600 --> 0:18:27.480
<v Speaker 4>And so I really commend her for putting this information

0:18:27.560 --> 0:18:30.560
<v Speaker 4>out there for women, especially for other young women to

0:18:30.600 --> 0:18:35.240
<v Speaker 4>see and to know that you know there's steps ahead.

0:18:35.280 --> 0:18:37.320
<v Speaker 4>These are the steps ahead, and that you know she's

0:18:37.359 --> 0:18:40.120
<v Speaker 4>a strong person who can get through it, and if

0:18:40.160 --> 0:18:42.600
<v Speaker 4>God forbid that happens to them, they will also be

0:18:42.640 --> 0:18:45.000
<v Speaker 4>able to get through it. So it's really what she's

0:18:45.040 --> 0:18:49.119
<v Speaker 4>doing is so incredible because it can be such a

0:18:49.400 --> 0:18:52.800
<v Speaker 4>terrifying time for people. So I really commend her me

0:18:53.040 --> 0:18:53.879
<v Speaker 4>too well.

0:18:54.280 --> 0:18:57.120
<v Speaker 2>Doctor Jan mccarr, thank you so much for being here

0:18:57.160 --> 0:18:58.840
<v Speaker 2>and answering all these questions.

0:19:00.040 --> 0:19:02.480
<v Speaker 3>Thank you for what you do. You're incredible.

0:19:03.080 --> 0:19:06.600
<v Speaker 2>And you know, if we ever encounter anything like this again,

0:19:06.880 --> 0:19:08.639
<v Speaker 2>or if Katie has any more updates, we'd love to

0:19:08.680 --> 0:19:09.160
<v Speaker 2>have you back.

0:19:09.760 --> 0:19:09.960
<v Speaker 1>Yeah.

0:19:10.000 --> 0:19:11.880
<v Speaker 4>Absolutely, I would be happy to share. Thank you so much

0:19:11.880 --> 0:19:12.800
<v Speaker 4>for having me on today.

0:19:13.440 --> 0:19:17.120
<v Speaker 1>Follow the Ben and Ashley I Almost Famous podcasts on iHeartRadio,

0:19:17.280 --> 0:19:19.679
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